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Published in: Clinical Rheumatology 11/2009

01-11-2009 | Case Report

Unusual cervical spine involvement in psoriatic arthritis: a case series

Authors: Inge Van Tilt, Rik J. Lories, Rene Westhovens, Kurt de Vlam

Published in: Clinical Rheumatology | Issue 11/2009

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Abstract

Cervical spine involvement in psoriatic arthritis is not uncommon and can often mimic symptoms and signs of ankylosing spondylitis. However, some specific features may help to differentiate between patients with psoriatic arthritis and ankylosing spondylitis. Here, we present a series of three patients with psoriatic arthritis and increasing cervical pain and loss of mobility. Each of the cases shows specific radiographic characteristics. These cases therefore illustrate different aspects of the involvement of the cervical spine in axial forms of psoriatic arthritis and highlight the importance of proper evaluation and management of axial disease in psoriatic arthritis.
Literature
1.
go back to reference Lassoued S, Hamidou M, Fournie B, Fournie A (1989) Cervical spine involvement in psoriatic arthritis. J Rheumatol 16:251–252PubMed Lassoued S, Hamidou M, Fournie B, Fournie A (1989) Cervical spine involvement in psoriatic arthritis. J Rheumatol 16:251–252PubMed
2.
go back to reference Ouedraogo DD, Palazzo E, Nlome-Nze M, Somogyi N, Ballard M, Hayem G, Meyer O (2007) Predominant cervical involvement in patients with psoriatic arthritis: report of two cases. Joint Bone Spine 74:175–178PubMedCrossRef Ouedraogo DD, Palazzo E, Nlome-Nze M, Somogyi N, Ballard M, Hayem G, Meyer O (2007) Predominant cervical involvement in patients with psoriatic arthritis: report of two cases. Joint Bone Spine 74:175–178PubMedCrossRef
3.
go back to reference Quarta L, Corrado A, Melillo N, Trotta A, D’onofrio F, Maruotti N, Cantatore FP (2007) Cervical myelopathy caused by periodontoid synovial pannus in a patient with psoriatic arthritis: a case report. Clin Rheumatol 26:1380–1382PubMedCrossRef Quarta L, Corrado A, Melillo N, Trotta A, D’onofrio F, Maruotti N, Cantatore FP (2007) Cervical myelopathy caused by periodontoid synovial pannus in a patient with psoriatic arthritis: a case report. Clin Rheumatol 26:1380–1382PubMedCrossRef
4.
go back to reference Laiho K, Kauppi M (2002) The cervical spine in patients with psoriatic arthritis. Ann Rheum Dis 61:650–652PubMedCrossRef Laiho K, Kauppi M (2002) The cervical spine in patients with psoriatic arthritis. Ann Rheum Dis 61:650–652PubMedCrossRef
5.
go back to reference Blau RH, Kaufman RL (1987) Erosive and subluxing cervical spine disease in patients with psoriatic arthritis. J Rheumatol 14:111–117PubMed Blau RH, Kaufman RL (1987) Erosive and subluxing cervical spine disease in patients with psoriatic arthritis. J Rheumatol 14:111–117PubMed
6.
go back to reference Salvarani C, Macchioni P, Cremonesi T, Mantovani W, Battistel B, Rossi F, Capozzoli N, Baricchi R, Portioli I (1992) The cervical spine in patients with psoriatic arthritis: a clinical, radiological and immunogenetic study. Ann Rheum Dis 51:73–77PubMedCrossRef Salvarani C, Macchioni P, Cremonesi T, Mantovani W, Battistel B, Rossi F, Capozzoli N, Baricchi R, Portioli I (1992) The cervical spine in patients with psoriatic arthritis: a clinical, radiological and immunogenetic study. Ann Rheum Dis 51:73–77PubMedCrossRef
7.
go back to reference Lu K, Lee TC (1999) Spontaneous regression of periodontoid pannus mass in psoriatic atlantoaxial subluxation. Case report. Spine 24:578–581PubMedCrossRef Lu K, Lee TC (1999) Spontaneous regression of periodontoid pannus mass in psoriatic atlantoaxial subluxation. Case report. Spine 24:578–581PubMedCrossRef
8.
go back to reference Lories RJ, Derese I, De Bari C, Luyten FP (2007) Evidence for uncoupling of inflammation and joint remodeling in a mouse model of spondyloarthritis. Arthritis Rheum 56:489–497PubMedCrossRef Lories RJ, Derese I, De Bari C, Luyten FP (2007) Evidence for uncoupling of inflammation and joint remodeling in a mouse model of spondyloarthritis. Arthritis Rheum 56:489–497PubMedCrossRef
9.
go back to reference Lories RJ, Derese I, Luyten FP (2008) Inhibition of osteoclasts does not prevent joint ankylosis in a mouse model of spondyloarthritis. Rheumatology 47:605–608PubMedCrossRef Lories RJ, Derese I, Luyten FP (2008) Inhibition of osteoclasts does not prevent joint ankylosis in a mouse model of spondyloarthritis. Rheumatology 47:605–608PubMedCrossRef
10.
go back to reference Lories RJ, Luyten FP, De Vlam K (2009) Progress in spondylarthritis. Mechanisms of new bone formation in spondyloarthritis. Arthritis Res Ther 11:221PubMedCrossRef Lories RJ, Luyten FP, De Vlam K (2009) Progress in spondylarthritis. Mechanisms of new bone formation in spondyloarthritis. Arthritis Res Ther 11:221PubMedCrossRef
Metadata
Title
Unusual cervical spine involvement in psoriatic arthritis: a case series
Authors
Inge Van Tilt
Rik J. Lories
Rene Westhovens
Kurt de Vlam
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 11/2009
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-009-1247-3

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